NPIMap

Organization Active NPI

Clover Spine and Joint Center LLC

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1912654575
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLOVER SPINE AND JOINT CENTER LLC
Practice address
1011 W la Palma Ave Ste 101
Anaheim, CA 92801-3661
Phone
(714) 758-8777
NPI assigned
Mar 3, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hommed Minaei, DCNPI 1245820935
Title
President
Phone
(413) 687-9245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1011 W la Palma Ave Ste 101
Anaheim, CA 92801-3661

Mailing address

1011 W la Palma Ave Ste 101
Anaheim, CA 92801-3661
Phone (714) 758-8777

National Provider Directory

National Provider Directory

Locations

1011 W La Palma Ave
Ste 101
Anaheim, CA 92801
Phone (714) 758-8777

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1912654575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W LA PALMA AVE STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013661",
            "telephone_number": "714-758-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W LA PALMA AVE STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013661",
            "telephone_number": "714-758-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER SPINE AND JOINT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "MINAEI",
        "authorized_official_first_name": "HOMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-687-9245",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.